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Have copd, hypothyroid, chest pain, headache and chest tightness. Family history of heart disease. Worrisome

DOCTOR OF THE MONTH - Jan 2013
Jan 2013
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Internal Medicine Specialist
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i have copd/emphsyma middle stage. i am age 47. and have hypothroid and take synthroid. For the last 6 months i have had gripping chest pain all across my front under breast at least three times a week, and severe headaches related to sinus i think The chest tightness is so bad i feel its binding me. i am on symbicort and spariva. it happens at various times. i have high chloresterol...285 no meds for it, as they made me sick. blood pressure is always low, 98-120. Heart disease runs in my family both mother and father. Mother died of pancreatic cancer in 2009. father had bypass in 2000 and valve replacement in 2009 complications - coded on table suffered stroke. The pain is unbearable and nothing relieves it.
Posted Tue, 31 Jul 2012 in Thyroid Problem and Hormonal Problems
 
 
Answered by Dr. Mayank Bhargava 46 minutes later
Hi,

Thanks for posting your query.

1) Kindly answer the following detail:
a) Have you any fever?
b) Have you any squeezing sensation in chest?
c) Associated symptoms: sweating, acidic belching, pain during swallowing.

2) As you have positive family history of heart disease and you have increased cholesterol, Chest pain most likely appears to be cardiac in origin.

3) Taking treatment for COPD is satisfactory and chest with COPD occurs only when chest muscle are exhausted or patient develops pneumonia. But development of pneumonia is associated with fever.

4) You should consult with physician and pulmonologist.

5) You should also go for ECG, Chest x XXXXXXX Complete blood count, Coronary angiography, 2 D Echo, Endoscopy if needed.

Put your query if you have.

Best Regards,

Dr. Mayank Bhargava
Above answer was peer-reviewed by
 
Follow-up: Have copd, hypothyroid, chest pain, headache and chest tightness. Family history of heart disease. Worrisome 1 hour later
In response to your questions
1) Kindly answer the following detail:
a) Have you any fever?
NO FEVER
b) Have you any squeezing sensation in chest?
JUST AS I DESCRIBED A GRIPPING TIGHTNESS. COMES AND GOES, SOME DAYS WORSE THAN OTHERS. HAPPENING FOR ABOUT 6 MONTHS.
c) Associated symptoms: sweating, acidic belching, pain during swallowing
NO TO ALL ABOVE.

I have had EKG in last 2 months. it was fine. what is a pulmonologist?

I am seeing my Lung Dr July 25, for a follow up breathing test and meds adjustment if necessary.

I do smoke a pack of day too. I do find the "episode: of squeezing in chest" to last about 20 minutes until it subsides. Not sure if its the COPD or Angina? I had gallbladder removed in 2007. It is quit debilitating when it happens and nothing seems to help but after about 20 min it subsides. thanks for you answer so fast. I am very worried.
 
 
Answered by Dr. Mayank Bhargava 10 hours later
Hi,

Thanks for sharing your problem in detail.

Your problem more appears to be cardiac on origin and if EKG is normal then you should for coronary angiography, 2 D echo.

Pulmonologist is the same your lung Doctor.

Let me know the reports of your Echo & angiography.

With wishes of rapid recovery,

Best Regards,

Dr. Mayank Bhargava
Above answer was peer-reviewed by
 
Follow-up: Have copd, hypothyroid, chest pain, headache and chest tightness. Family history of heart disease. Worrisome 34 hours later
Dear Dr. Bahargava,

I have also been suffering from severe headaches, front forehead on and off for 6 months also. I also run low blood pressure 98. - 120 top number. I don't know I mentioned earlier. Can the headaches be a part of this cardio prob you suspect?

Many thanks
 
 
Answered by Dr. Mayank Bhargava 1 hour later
Hi,

Presence of headache with front headache indicates sinusitis and it is not related with cardiac ailment.

Your blood pressure is controlled.

Thanks,

Dr. Bhargava
Above answer was peer-reviewed by
 
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